Big Sandy Health Care, Inc.
Big Sandy Health Care, Inc. is a federally qualified community health center based in Prestonsburg, KY, with 12 clinic locations in 8 cities. It served 27,787 patients in 2025. Fees are on a sliding scale by income and insurance, and every patient is seen regardless of ability to pay.
- 27,787patients in 2025
- 5%uninsured patients
- 39%at or below the poverty line
- 334full-time-equivalent staff
Care offered: primary care, dental care, mental health care, eye exams, children’s checkups, women’s health, and telehealth.
Who Big Sandy Health Care, Inc. serves
39% of patients live at or below the poverty line and 70% are at or below twice that level. 5% have no insurance, 39% have Medicaid or CHIP, 27% have Medicare and 29% have private insurance. 134 patients were experiencing homelessness. 283 were veterans.
| Measure | This center | KY median | U.S. median | vs KY |
|---|---|---|---|---|
| Patients at or below the poverty line | 39% | 50% | 65% | −12 pts |
| Patients at or below 200% of the poverty line | 70% | 81% | 92% | −11 pts |
| Measure | This center | KY median | U.S. median | vs KY |
|---|---|---|---|---|
| Uninsured patients | 5% | 10% | 14% | −5 pts |
| Medicaid or CHIP patients | 39% | 43% | 42% | −4 pts |
| Medicare patients | 27% | 15% | 11% | +12 pts |
| Privately insured patients | 29% | 29% | 24% | In line |
Care and screenings
| Service | Patients | What it counts |
|---|---|---|
| Dental care | 4,811 | patients had dental exams |
| Mental health care | 8,942 | patients treated for depression or anxiety |
| Eye exams | 3,405 | patients had eye exams |
| Well-child visits | 1,652 | children had checkups |
| Flu shots | 2,145 | patients vaccinated |
| Cervical cancer screening | 2,815 | patients tested |
| Family planning | 1,118 | patients served |
| Diabetes care | 4,282 | patients with diabetes |
| Blood pressure care | 8,182 | patients with hypertension |
| Asthma care | 602 | patients with asthma |
| HIV testing | 1,543 | patients tested |
| Hepatitis C testing | 1,768 | patients tested |
| Childhood lead tests | 458 | children tested |
Quality of care
Big Sandy Health Care, Inc. is at or above the Kentucky median on 7 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | KY median | U.S. median | vs KY |
|---|---|---|---|---|
| Adults with high blood pressure under control | 74% | 73% | 68% | +1 pts |
| Women 52–74 screened for breast cancer | 64% | 56% | 54% | +8 pts |
| Women 24–64 screened for cervical cancer | 61% | 48% | 54% | +13 pts |
| Adults 46–75 screened for colorectal cancer | 56% | 44% | 44% | +12 pts |
| Patients 12+ screened for depression | 90% | 80% | 77% | +10 pts |
| Adults assessed for tobacco use | 92% | 86% | 86% | +6 pts |
| High-risk adults on statin therapy | 83% | 80% | 79% | +3 pts |
Staffing
334 full-time-equivalent staff work at Big Sandy Health Care, Inc., including 38 physicians, nurse practitioners, physician assistants and midwives. That is 732 patients per clinical provider, against the Kentucky median of 725 and the U.S. median of 930.
Where Big Sandy Health Care, Inc. patients live
| ZIP code | Patients | Uninsured |
|---|---|---|
| 41465 | 3,459 | 4% |
| 41501 | 2,963 | 5% |
| 41653 | 2,154 | 7% |
| 41224 | 1,318 | 3% |
| 41240 | 1,010 | 9% |
| 41572 | 947 | 5% |
| 41635 | 880 | 5% |
| 41522 | 482 | 5% |
Big Sandy Health Care, Inc. locations
Martin County Community Health Center
Johnson County Community Health Center
Pikeville Community Health Center
Hope Family Health Services-Pediatrics
Hope Family Health Services-Podiatry
Other health centers in Kentucky
- Sterling Health Solutions, Inc.
- Healthfirst Bluegrass Inc.
- Health Help, Inc.
- Faith Healthcare Inc.
- Regional Health Care Affiliates, Inc.
- Family Health Center, Inc.
How fees work: the sliding-fee guide.